MELISSA ANN RUSSELL (NPI# 1154689669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154689669 |
| Entity Type | Individual |
| Full Name | MELISSA ANN RUSSELL |
| Credential | MS |
| Practice Address |
4024 Central Ave St Petersburg FL 33711-1239 |
| Practice Telephone | 7275438568 |
| Mailing Telephone | 7275438568 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648270 | Melissa Russell | Counselor | 205 Oakhill Rd Ste A, Jasper, AL 35504-7416 | 2019-03-14 |
| 1457883662 | Melissa Lynn Russell | Counselor | 808 Hunters Run, Midwest City, OK 73130-4528 | 2017-03-28 |
| 1821404666 | Melissa Russell | Specialist/Technologist | 9898 Maple Ave, Hesperia, CA 92345-2968 | 2014-07-01 |
| 1740628106 | Melissa Russell | Nurse Practitioner | 467 W 159th St Apt 31, New York, NY 10032-5300 | 2013-06-07 |
| 1114543998 | Melissa Lynn Russell | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-06-17 |
| 1912489329 | Melissa Russell | Behavior Technician | 2080 N Tustin Ave Ste B, Santa Ana, CA 92705-7875 | 2018-08-31 |
| 1629555735 | Melissa Montanez Russell | Dietitian, Registered | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2018-07-20 |
| 1326566985 | Melissa Russell | Speech-Language Pathologist | 845 E Jackson St, Du Quoin, IL 62832-3871 | 2017-09-05 |
| 1225420706 | Melissa Russell | Registered Nurse | 55 Ne Grand Ave, Portland, OR 97232-2968 | 2015-02-20 |
| 1568882488 | Melissa Lee Russell | Specialist/Technologist | 2401 Claremont Ln, Houston, TX 77019-5811 | 2014-04-17 |
| Street Address |
4024 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371763 | Suncoast Center, Inc. | Clinic/Center | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2005-07-29 |
| 1790384709 | Tracy Reenae Hardaway | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-21 |
| 1154928877 | Tyler Ray-baker | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-06 |
| 1720694565 | Meghan Reese | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-09-17 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1518570381 | Stephanie Ganoe | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1679181655 | April Irwin | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-16 |
| 1497373757 | Mishania Jenkins | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-13 |
| 1154945632 | Kenneth Westerfield | Behavioral Analyst | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| 1235753674 | Kathryn Ann Pinkston | Registered Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363934 | Amelia Neal | Counselor | 1926 45th St S, St Petersburg, FL 33711-3042 | 2017-05-12 |
| 1578002036 | Feona Young | Counselor | 1040 1/2 21st Ave N, St Petersburg, FL 33704-4155 | 2017-02-16 |
| 1427500271 | Jessica Ashley Brown | Counselor | 1735 Martin Luther King St S, St Petersburg, FL 33705-2404 | 2016-10-27 |
| 1871048314 | Jannet Harper | Counselor | 3510 1st Ave N, Suite 226, St Petersburg, FL 33713-8400 | 2016-08-24 |
| 1043684178 | Caramia Fisher | Counselor | 225 73rd Ave N Apt 201, St Petersburg, FL 33702-5957 | 2015-12-01 |
| 1851768311 | William Douglas Thomas | Counselor | 2900 Erie St S, St Petersburg, FL 33712-3363 | 2015-08-31 |
| 1053746289 | Crystal Marie Gipson | Counselor | 10072 12th Way N Apt 213, St Petersburg, FL 33716-4399 | 2013-09-06 |
| 1770843195 | John Whitaker | Counselor | 6844 16th Ter N, St Petersburg, FL 33710-5335 | 2012-05-18 |
| 1831458546 | Amy Lynn Lindsey | Counselor | 455 49th Ave N, St Petersburg, FL 33703-3830 | 2012-05-15 |
| 1861647190 | Lillian J Zoda | Counselor | 1000 118th Ave N, St Petersburg, FL 33716-2332 | 2008-12-01 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.